| Vep Il Optometric Llc | |
|
101 N Veterans Pkwy, Bloomington, IL 61704-3596 | |
| (309) 663-2700 | |
| (309) 663-2110 |
| Full Name | Vep Il Optometric Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 N Veterans Pkwy, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528536620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Julie Hendricks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760486096 PECOS PAC ID: 1759295009 Enrollment ID: I20031120000133 |
| Provider Name | Michael T Morris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083701718 PECOS PAC ID: 0749188910 Enrollment ID: I20031224000068 |
| Provider Name | Ronald J Suarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376521146 PECOS PAC ID: 0941103394 Enrollment ID: I20040202000146 |
| Provider Name | Jennifer M Karr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780786046 PECOS PAC ID: 2668425794 Enrollment ID: I20050301000244 |
| Provider Name | Julie L Quivey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619077831 PECOS PAC ID: 4385741347 Enrollment ID: I20070525000458 |
| Provider Name | John E Sheary |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568444917 PECOS PAC ID: 2062420409 Enrollment ID: I20070613000339 |
| Provider Name | Gennadiy M Dameshek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871799106 PECOS PAC ID: 0244331197 Enrollment ID: I20070723000636 |
| Provider Name | Brian S Spooner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629155379 PECOS PAC ID: 3779677620 Enrollment ID: I20070921000829 |
| Provider Name | Stefan Michael Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932365699 PECOS PAC ID: 0042370496 Enrollment ID: I20081115000066 |
| Provider Name | Richard J Surowiak |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811040983 PECOS PAC ID: 8527122613 Enrollment ID: I20090204000688 |
| Provider Name | Diana E Dracopoulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639227176 PECOS PAC ID: 5597954180 Enrollment ID: I20110113000160 |
| Provider Name | Brian R Repking |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942684642 PECOS PAC ID: 8527371426 Enrollment ID: I20150721003167 |
| Provider Name | Priscilla Pappas-walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295061240 PECOS PAC ID: 2365734605 Enrollment ID: I20160728001421 |
| Provider Name | Laura E Wilshire |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063965515 PECOS PAC ID: 2567758279 Enrollment ID: I20160907000329 |
| Provider Name | David Cue Wiegman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568617967 PECOS PAC ID: 4587905120 Enrollment ID: I20190409002744 |
| Provider Name | Bobak Rafati |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265689863 PECOS PAC ID: 4385077965 Enrollment ID: I20191212001919 |
| Provider Name | Eric Birky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013483783 PECOS PAC ID: 6103259783 Enrollment ID: I20191212001928 |
| Provider Name | Stephanie Corbin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124545603 PECOS PAC ID: 6406113760 Enrollment ID: I20200917000746 |
| Provider Name | Melanie B Wehrman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417083494 PECOS PAC ID: 7416231840 Enrollment ID: I20210128000008 |
| Provider Name | Jasmine Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063291201 PECOS PAC ID: 5799135778 Enrollment ID: I20240103002583 |
| Provider Name | Nicholas A Qualls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225690274 PECOS PAC ID: 4183045743 Enrollment ID: I20240507002828 |
| Provider Name | Sandra J Whiteley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720136435 PECOS PAC ID: 3971944836 Enrollment ID: I20240509003633 |
| Provider Name | Jeffrey Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801142351 PECOS PAC ID: 5193167989 Enrollment ID: I20240524000909 |
| Provider Name | Siby Francis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043649130 PECOS PAC ID: 2062854680 Enrollment ID: I20240529000940 |
| Provider Name | Aman Jalota |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952615684 PECOS PAC ID: 3779925235 Enrollment ID: I20240529002923 |
| Provider Name | Anne M Neumann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952689754 PECOS PAC ID: 6901348630 Enrollment ID: I20240610000327 |
| Provider Name | Nicole C Sidock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700914504 PECOS PAC ID: 0042752651 Enrollment ID: I20240611002964 |
| Mailing Address | Practice Location Address |
|---|---|
| Vep Il Optometric Llc Po Box 800148, Kansas City, MO 64180-9624 Ph: (309) 808-3112 | Vep Il Optometric Llc 101 N Veterans Pkwy, Bloomington, IL 61704-3596 Ph: (309) 663-2700 |
Dr. Eric Birky, OD Optometrist Medicare: Medicare Enrolled Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 Fax: 312-327-7621 | |
Dr. Christine D Clark, PH.D., TVI, DTV Optometrist Medicare: Not Enrolled in Medicare Practice Location: 221 Woodland Ave, Bloomington, IL 61701 Phone: 309-824-5841 | |
Dr. John Francis Couillard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2103 E. Washington St., Suite 1d, Bloomington, IL 61701 Phone: 309-662-2277 Fax: 309-663-6472 | |
Megan V Mosley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 101 N Veterans Pkwy, Bloomington, IL 61704 Phone: 309-663-2700 | |
Adam Sobin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Bloomington, IL 61701 Phone: 309-829-5311 Fax: 309-827-8027 | |
Dr. Jay E Tallis, OD Optometrist Medicare: Medicare Enrolled Practice Location: 915 N Main St, Bloomington, IL 61701 Phone: 309-827-8434 Fax: 309-828-6741 | |
John Robert Fults, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1631 E Empire St, Bloomington, IL 61701 Phone: 309-662-4074 Fax: 309-662-4074 |